Functional Outcome of Titanium Elastic Nailing in Pediatric Lower-Limb Fractures: A Prospective Study.
- 1Department of Orthopaedics, Sri Venkateshwaraa Medical College Hospital and Research Centre, Ariyur, Puducherry, India.
- 2Department of Orthopaedics, Aarupadai Veedu Medical College and Hospital, Puducherry, India.
- 3Department of Orthopaedics, Sri Manakula Vinayagar Medical College and Hospital, Puducherry, India.
Abstract
Pediatric femoral and tibial shaft fractures are common injuries with evolving treatment trends toward operative management. Titanium elastic nailing system (TENS) has gained popularity due to its minimally invasive nature and favorable outcomes. This study evaluates the clinical and radiological outcomes of TENS in pediatric lower-limb fractures. A hospital-based prospective analytical study was conducted on 15 children aged 5-16 years with displaced diaphyseal fractures of the femur and tibia between November 2019 and April 2021. Patients underwent TENS (retrograde for femur and antegrade for tibia). Follow-up assessments were performed at regular intervals up to 6 months, evaluating fracture union, range of motion, and complications. The mean age was 8.5 years, with a male predominance (66.7%). The average time to radiological union was 10.1 ± 1.5 weeks for femur fractures and 9.4 ± 1.5 weeks for tibial fractures, with no significant difference (P > 0.05). Complications were minimal, with 80% of patients showing no complications. Limb length discrepancy (1 cm), knee stiffness due to nail irritation, and malalignment were noted in a few cases. According to Flynn criteria, 80% of patients had excellent outcomes, 13.3% satisfactory, and 6.7% poor outcomes. TENS is a safe, effective, and minimally invasive method for treating pediatric femoral and tibial shaft fractures. It provides stable fixation, promotes early union and mobilization, and is associated with low complication rates, making it as preferred treatment modality.
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BibTeX
@article{velayudham2026functional,
title = {{Functional Outcome of Titanium Elastic Nailing in Pediatric Lower-Limb Fractures: A Prospective Study.}},
author = {Raja Velayudham and Madhavan Manjini and Manikandan Kumarasamy and Pragash Mohanen},
journal = {Journal of orthopaedic case reports},
year = {2026},
month = nov,
doi = {10.13107/jocr.2026.v16.i11.8502},
url = {https://europepmc.org/article/MED/42997122},
note = {CC BY-NC},
}
RIS
TY - JOUR
TI - Functional Outcome of Titanium Elastic Nailing in Pediatric Lower-Limb Fractures: A Prospective Study.
AU - Raja Velayudham
AU - Madhavan Manjini
AU - Manikandan Kumarasamy
AU - Pragash Mohanen
PY - 2026
DA - 2026/11/01
JO - Journal of orthopaedic case reports
DO - 10.13107/jocr.2026.v16.i11.8502
UR - https://europepmc.org/article/MED/42997122
AB - Pediatric femoral and tibial shaft fractures are common injuries with evolving treatment trends toward operative management. Titanium elastic nailing system (TENS) has gained popularity due to its minimally invasive nature and favorable outcomes. This study evaluates the clinical and radiological outcomes of TENS in pediatric lower-limb fractures. A hospital-based prospective analytical study was conducted on 15 children aged 5-16 years with displaced diaphyseal fractures of the femur and tibia between November 2019 and April 2021. Patients underwent TENS (retrograde for femur and antegrade for tibia). Follow-up assessments were performed at regular intervals up to 6 months, evaluating fracture union, range of motion, and complications. The mean age was 8.5 years, with a male predominance (66.7%). The average time to radiological union was 10.1 ± 1.5 weeks for femur fractures and 9.4 ± 1.5 weeks for tibial fractures, with no significant difference (P > 0.05). Complications were minimal, with 80% of patients showing no complications. Limb length discrepancy (1 cm), knee stiffness due to nail irritation, and malalignment were noted in a few cases. According to Flynn criteria, 80% of patients had excellent outcomes, 13.3% satisfactory, and 6.7% poor outcomes. TENS is a safe, effective, and minimally invasive method for treating pediatric femoral and tibial shaft fractures. It provides stable fixation, promotes early union and mobilization, and is associated with low complication rates, making it as preferred treatment modality.
SN - 2250-0685
SN - 2321-3817
ER -